Understanding Associations Between Race/Ethnicity, Experiences of Discrimination, and Psychotic-like Experiences in Middle Childhood.
Understanding Associations Between Race/Ethnicity, Experiences of Discrimination, and Psychotic-like Experiences in Middle Childhood.
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DOI：
10.1016/j.jaac.2022.03.025
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发表时间：
2022-10
影响因子：
13.3
通讯作者：
Schiffman, Jason
中科院分区：
文献类型：
--
作者：
Karcher, Nicole R.;Klaunig, Mallory J.;Elsayed, Nourhan M.;Taylor, Rita L.;Jay, Samantha Y.;Schiffman, Jason
本研究的目的是检查因素，可能占种族/民族差异的精神病样的经验（PLEs）在童年中期的样本，包括证据的经验，歧视作为这些差异的心理社会中介。在青少年大脑认知发展研究的10，839名9至10岁儿童的样本中，我们比较了不同种族/民族的PLEs。我们还研究了歧视的经验是否间接联系种族/民族身份和PLEs，以及社会支持是否调节这种间接关联。结果表明，不同种族/民族群体之间的差异，在认可的PLEs，这样的黑人和西班牙裔参与者认可更高水平的PLEs相比，亚洲，多种族/多民族，和白色个人。我们发现，这些差异部分是由歧视的经验，间接影响，这反过来又减弱了社会支持的增加。这是第一项研究表明，歧视的经验可能间接联系种族/民族差异和认可的PLEs使用PQ-BC之间的关联，此外，社会支持可以作为这种调解的主持人。结果提供的证据表明，社会不平等，如种族歧视可能有助于增加精神病样的经验。这些发现进一步阐明了一种可能的机制，将结构性种族主义与少数群体的心理健康不平等联系起来。利用青少年大脑认知发展研究的数据，本研究探讨了种族和民族群体中精神病样经历差异的基础因素。目前的研究发现，有证据表明，不同种族和族裔群体对类似精神病经历的认可程度不同，部分原因是受到歧视。本研究还确定了一个潜在的可修改的因素，社会支持，这表明部分减轻歧视的经验的间接影响的证据。这一证据表明，临床医生和研究人员考虑背景因素（例如，歧视的经历），以了解来自种族和民族群体的个人的精神病样经历。
The present study aimed to examine factors that may account for race/ethnicity differences in psychotic-like experiences (PLEs) in a middle childhood sample, including evidence for experiences of discrimination as a psychosocial mediator of these differences. Within a sample of 10,839 9 to 10-year-olds from the Adolescent Brain Cognitive Development℠ study, we compared PLEs across racial/ethnic groups. We also examined whether experiences of discrimination indirectly linked racial/ethnic identity and PLEs, and whether social support moderated this indirect association. Results indicated differences between racial/ethnic groups in the endorsement of PLEs, such that Black and Hispanic participants endorsed higher levels of PLEs as compared to Asian, Multiracial/Multiethnic, and White individuals. We found these differences were accounted for in part by experiences of discrimination, an indirect effect that was in turn attenuated by increased social support. This is the first study to suggest that the experience of discrimination may indirectly link the association between racial/ethnic differences and endorsement of PLEs using the PQ-BC, and additionally that social support may act as a moderator of this mediation. Results provide evidence that social inequities such as racial discrimination may contribute to increases in psychotic-like experiences. These findings shed further light on a possible mechanism linking structural racism and mental health inequities for people in minoritized groups. Using data from the Adolescent Brain Cognitive Development℠ study, the present study examined factors that underlie differences in psychotic-like experiences across individuals from racial and ethnic groups. The current study found evidence that differences in endorsement of psychotic-like experiences across racial and ethnic groups were accounted for in part by experiences of discrimination. The present study also identified a potentially modifiable factor, social support, that showed evidence of partially alleviating the indirect effect of experiences of discrimination. This evidence indicates that it is important for clinicians and researchers to consider contextual factors (e.g., experiences of discrimination) in understanding psychotic-like experiences across individuals from racial and ethnic groups.
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